Individual provider Active NPI

James Bentley Stillman III, B.A.

  • Counselor
  • Olympia, WA
National Provider Identifier
1285873570
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
RC00053320 Issued in WA
Practice address
2940 Limited LN NW
Olympia, WA 98502-6503
Phone
(360) 789-9420
Fax
(360) 586-0968
NPI assigned
Feb 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X RC00053320 WA Primary

Addresses

Primary practice location

2940 Limited LN NW
Olympia, WA 98502-6503

Mailing address

2940 Limited LN NW
Olympia, WA 98502-6503
Phone (360) 789-9420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
RC00053320WAMDCounselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1285873570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 LIMITED LN NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985026503",
            "telephone_number": "360-789-9420",
            "fax_number": "360-586-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 LIMITED LN NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985026503",
            "telephone_number": "360-789-9420",
            "fax_number": "360-586-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLMAN",
        "first_name": "JAMES",
        "middle_name": "BENTLEY",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "RC00053320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.